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Louisiana rates for HCPCS 64636

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)

Facilitymedian $1,096 · 10th–90th $204–$3,4670%10%10th90th$1,096Professionalmedian $145 · 10th–90th $58–$4470%10%10th90th$145$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,148.15 / $3,467.37
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$602.56 / $977.24 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $154.88 / $436.52
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$85.11 / $117.49 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $61.66 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$87.10 / $97.72 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $870.96 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $371.54
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $158.49 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $562.34 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $144.54 / $281.84